Specialty medications are often very expensive, and may have certain restrictions for insurance coverage. However, patients in need of these drugs may also be eligible for financial assistance from the manufacturer, government assistance, or non-profit organizations.

Retail pharmacies often do not stock specialty medications. Your doctor or pharmacist will have more information on how to fill your prescription.

PEMETREXED is a chemotherapy drug. This medicine affects cells that are rapidly growing, such as cancer cells and cells in your mouth and stomach. It is usually used to treat lung cancers like non-small cell lung cancer and mesothelioma. It may also be used to treat other cancers. Compare antifolates.

Pemetrexed Medicare Coverage

Overview

Does Medicare cover Alimta?

No.

In general, Medicare plans do not cover this drug. This drug
will likely be quite expensive and you may want to consider
using a GoodRx discount instead of Medicare to find the best
price for this prescription.

How much is my Alimta co-pay with Medicare?

It depends. Which coverage stage are you in? Click on a tab below…

Deductible

Typical

Donut Hole

Post-Donut Hole

Co-Pay Range

$6545

In the Deductible co-pay stage, you are responsible for the full
cost of your prescriptions. Your Medicare deductible cannot
exceed $360 in 2016.

Co-Pay Range

$6545

In the Typical co-pay stage, your deductible has been satisfied,
and Medicare pays the majority of your drug costs.

Co-Pay Range

$6545

In the Donut Hole (also called the Coverage Gap) stage, you’ll
pay more for your prescriptions. In 2016, the Donut Hole begins
once you’ve spent $3,310 in one year.

Co-Pay Range

$6545

In the Post-Donut Hole (also called Catastrophic Coverage) stage,
Medicare will cover most of your drug costs. In 2016, this stage
begins once you have spent $4,850.

Want an exact price for your co-pay?

Ways to Save on Pemetrexed

Here are some ways that may lower the cost of your
Alimta prescription.

Instead of Medicare, Use a Coupon

If your Medicare co-pay is higher than $5676.83, you can save money by using a GoodRx coupon instead.

Find Your Pemetrexed Medicare Co-Pay

Here are average co-pays for some of the most popular Medicare plans. Be sure to
add your plan to see your specific co-pay. If a price is shown in red,
GoodRx has found discount prices that are lower than your Medicare co-pay.

GoodRx is not sponsored by or affiliated with any of the pharmacies identified in its price comparisons. All trademarks, brands, logos and copyright images are property of their respective owners and rights holders and are used solely to represent the products of these rights holders. This information is for informational purposes only and is not meant to be a substitute for professional medical advice, diagnosis or treatment. GoodRx is not offering advice, recommending or endorsing any specific prescription drug, pharmacy or other information on the site. GoodRx provides no warranty for any of the pricing data or other information. Please seek medical advice before starting, changing or terminating any medical treatment.